CAJ | 학술논문

目的探讨剖宫产术后再次妊娠分娩方式的选择,以期减少分娩并发症.方法选择民航总医院妇产科2005年1月至2008年12月住院的剖宫产术后再次妊娠孕妇172例,对其分娩方式、分娩结局进行回顾性分析.将其中剖宫产术后阴道分娩48例与同期非剖宫产术后子宫阴道分娩48例进行对照分析,再次剖宫产124例与随机抽取同期首次剖宫产124例进行对照分析.结果 172例剖宫产术后再次妊娠孕妇中,有54例阴道试产,48例试产成功,成功率88.89%,瘢痕子宫与正常子宫阴道分娩产后出血差异无统计学意义;再次剖宫产124例,手术产率72.09%,再次剖宫产与首次剖宫产产后出血量差异有统计学意义[(265±14)ml比(201±12)ml,P＜0.05].结论剖宫产术后再次妊娠的孕妇在一定条件下可阴道分娩,应给予试产机会,瘢痕子宫并非再次剖宫产的绝对指征.
목적 탐토부궁산술후재차임신분면방식적선택,이기감소분면병발증.방법 선택민항총의원부산과2005년1월지2008년12월주원적부궁산술후재차임신잉부172례,대기분면방식、분면결국진행회고성분석.장기중부궁산술후음도분면48례여동기비부궁산술후자궁음도분면48례진행대조분석,재차부궁산124례여수궤추취동기수차부궁산124례진행대조분석.결과 172례부궁산술후재차임신잉부중,유54례음도시산,48례시산성공,성공솔88.89%,반흔자궁여정상자궁음도분면산후출혈차이무통계학의의;재차부궁산124례,수술산솔72.09%,재차부궁산여수차부궁산산후출혈량차이유통계학의의[(265±14)ml비(201±12)ml,P＜0.05].결론 부궁산술후재차임신적잉부재일정조건하가음도분면,응급여시산궤회,반흔자궁병비재차부궁산적절대지정.
Objective To analyze the delivery ways of the re-pregnant women after caesarean section. Methods The mode of delivery and birth outcome of 172 cases re-pregnancy after caesarean section from Jan. 2005 to Dec. 2008 were retrospectively analyzed. 48 cases of vaginal delivery after cesarean section were compared with 48 cases of non-vaginal birth after cesarean section during the same period. 124 cases of re-cesarean section were compared with 124 random case of cesarean section for the first time during the same period. Results Among 172 cases , 54 cases had vaginal labor in whom 48 cases succeeded. The success rate was 88. 89%. There was no significant difference in postpartum hemorrhage scar uterus and no-scar uterus. There were 124 cases of re-caesarean section. There was a significant difference in postpartum hemorrhage re-caesarean section and cesarean section for the first time [ (265 ±14)ml vs (201 ±12)ml, P<0.05]. Conclusions Scar uterus can be applied to vaginal delivery. Caesarea section history is not the definite indication of caesarean birth.